What is an example of a Billing Workflow
- 28 Jun 2024
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What is an example of a Billing Workflow
- Updated on 28 Jun 2024
- 1 Minute to read
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- The Staff enters data into Staff Action Work Queue in PropelEHR throughout the week.
- The Biller runs the Billing Ruleset tests in the Staff Action - Billing Opportunities and checks the QC and combination checkers as well as performs a manual review of the data to identify any issues.
- The Biller emails the Services Director (MOS) to look at any identified issues that they may have found and asks the Director to make corrections as needed.
- The Services Director (MOS) makes the necessary corrections and runs the adjustment. If appropriate, they review the maximum units and combinations for Day Services only.
- The Services Director (MOS) sends the Biller an email when they are done with their updates, indicating “Billing is corrected for ___ program”.
- The Biller re-reviews the updated information (triggered by the email sent from the Services Director (MOS)) checking the QC and combination checkers and performing a manual review of the data.
- The Biller re-runs the Billing Ruleset tests on the changed items to establish the billable service.
- The Biller generates and saves all the billable items to an invoice.
- The Biller sends the invoice to Millinpro or some other 3rd party billing system and sends the appropriate items to eMedNy-EVV (when needed).
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